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Patricia M. Sullivan, Md, Llc
Medical Specialty Clinic/Center in Columbia, Maryland
NPI 1053585661

Patricia M. Sullivan, Md, Llc is a Medical Specialty Clinic/Center based in Columbia, MD and is specialized in Medical Specialty. Patricia M. Sullivan, Md, Llc practices in Columbia, MD. The NPI Number for Patricia M. Sullivan, Md, Llc is 1053585661 and holds a License No. D0055226 (Maryland).

The current practice location address for Patricia M. Sullivan, Md, Llc is 10796 Hickory Ridge Rd, Columbia, MD and can be reached out via phone at 240-535-8968.

Location: 10796 Hickory Ridge Rd, Columbia, MD, 21044-3646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053585661
Provider Name
Patricia M. Sullivan, Md, Llc
Credential
Provider Entity Type
Organization
Address
10796 Hickory Ridge Rd, Columbia, MD, 21044-3646
Phone Number
240-535-8968
Fax Number
Provider Enumeration Date
04/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10796 Hickory Ridge Rd
City
Columbia
State
Maryland
Zip
21044-3646
Phone Number
240-535-8968
Fax Number
person
Provider Business Mailing Address Details
Address
10796 Hickory Ridge Rd
City
Columbia
State
Maryland
Zip
21044-3646
Phone Number
240-535-8968
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
D0055226 (Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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